DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wiseman, Elizabeth	DOIID	781402	NAIC NPN	16637423

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	7/10/2012	4/1/2019
Inactive	Resident	Agent	Health	7/10/2012	4/1/2019
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/30/2012	4/14/2014
Inactive	Humana Insurance Company	301104	Agent - Health	7/27/2012	4/14/2014
Inactive	Humana Insurance Company	301104	Agent - Life	7/27/2012	4/14/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/30/2012	4/14/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/30/2012	4/14/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	UFPC Insurance Agency, Inc.	399199	Agent - Life	7/27/2012	4/14/2014
Inactive	UFPC Insurance Agency, Inc.	399199	Agent - Health	7/27/2012	4/14/2014
Inactive	Unified Food Service Purchasing Coop LLC.	576477	Agent - Life	7/27/2012	4/14/2014
Inactive	Unified Food Service Purchasing Coop LLC.	576477	Agent - Health	7/27/2012	4/14/2014